BSN HESI 315 Pharmacology Practice Exam V2 (New 2026/
2027 Update) Questions and Verified Answers|100%
Correct| Graded A+ Nightingale
1. What is the prescribed dosage of enoxaparin sodium for the patient?
80 mg
0.6 mL
1 mL
60 mg
2. If a client on pregabalin develops new symptoms such as severe dizziness
and confusion, what should the nurse's immediate priority be?
Perform a full neurological assessment without notifying anyone.
Administer a sedative to calm the client.
Notify the healthcare provider.
Increase the dosage of pregabalin.
3. A patient on miotics reports difficulty seeing at night and expresses concern
about falling. What nursing intervention should be prioritized to address this
risk for injury?
Advise the patient to avoid taking the medication at night.
Educate the patient on using night lights and removing tripping
hazards in their home.
Instruct the patient to increase their fluid intake to improve vision.
Suggest the patient wear sunglasses indoors to reduce light
sensitivity.
,4. The nurse is concerned that the adolescent with RA may be developing a
side effect of methotrexate. Which of the following tests is priority for the
nurse to monitor prior to administration?
Hemoglobin A1c
Serum electrolytes
Complete blood count
Folic acid level
5. Why is it important for a patient with hyperaldosteronism taking
spironolactone to limit potassium intake?
Spironolactone can cause potassium retention, leading to
hyperkalemia.
Limiting potassium helps prevent dehydration.
Spironolactone increases sodium levels, requiring more sodium intake.
Potassium is essential for medication absorption.
6. What should the nurse do if a client on pregabalin reports tremors?
Administer a PRN dose of an anti-anxiety drug.
Obtain orthostatic blood pressure readings.
Collect a capillary glucose level.
Notify the healthcare provider.
7. A patient with chronic heart failure has a serum potassium level of 3.0 mEq/L.
The nurse should alert the health care provider prior to administering which
medication?
Metoprolol (Lopressor) 12.5 mg/day
, Ibuprofen (Motrin) 400 mg every 6 hours
Lantus insulin 24 units subcutaneously every evening
Digoxin (Lanoxin) 0.25 mg/day
8. What is the effect of doxycycline hyclate on the efficacy of birth control
pills?
It will cause an allergic reaction with birth control pills.
It will make the birth control pills less effective.
It has no effect on birth control pills.
It will enhance the effectiveness of birth control pills.
9. What is the target INR range for a patient on warfarin therapy?
1.5 to 2.5
3.5 to 4.5
2.5 to 3.5
2.0 to 3.0
10. Describe the significance of monitoring oxygen saturation and
methemoglobin levels in a patient with methemoglobinemia.
Monitoring only the patient's symptoms is enough to evaluate their
progress.
Monitoring laboratory values is not necessary for
methemoglobinemia.
Monitoring oxygen saturation and methemoglobin levels is crucial
to assess the patient's oxygen-carrying capacity and the severity of
the condition.
, Monitoring blood pressure and heart rate is sufficient for assessing
methemoglobinemia.
11. The client tells the clinic nurse she is taking St. John's wort for her depression.
Which information should the nurse discuss with the client?
Instruct the client to avoid touching the eyes after taking the
medication.
Tell the client to apply sunscreen freely when outdoors.
Discuss the need to avoid estrogen hormonal contraceptives.
Explain that this medication often causes liver damage.
12. Why is it important for the nurse to ask the client how she takes the
medication when she reports heartburn?
To provide education on the importance of hydration.
To suggest alternative medications for osteoporosis.
To identify potential issues with medication administration that
could cause side effects.
To determine if the client needs immediate medical attention.
13. What is the primary etiology for the nursing problem of risk for injury in
patients receiving miotics for open-angle glaucoma?
Increased frequency of lacrimation.
Diminished color perception.
Increased sensitivity to light.
Decreased night vision.
2027 Update) Questions and Verified Answers|100%
Correct| Graded A+ Nightingale
1. What is the prescribed dosage of enoxaparin sodium for the patient?
80 mg
0.6 mL
1 mL
60 mg
2. If a client on pregabalin develops new symptoms such as severe dizziness
and confusion, what should the nurse's immediate priority be?
Perform a full neurological assessment without notifying anyone.
Administer a sedative to calm the client.
Notify the healthcare provider.
Increase the dosage of pregabalin.
3. A patient on miotics reports difficulty seeing at night and expresses concern
about falling. What nursing intervention should be prioritized to address this
risk for injury?
Advise the patient to avoid taking the medication at night.
Educate the patient on using night lights and removing tripping
hazards in their home.
Instruct the patient to increase their fluid intake to improve vision.
Suggest the patient wear sunglasses indoors to reduce light
sensitivity.
,4. The nurse is concerned that the adolescent with RA may be developing a
side effect of methotrexate. Which of the following tests is priority for the
nurse to monitor prior to administration?
Hemoglobin A1c
Serum electrolytes
Complete blood count
Folic acid level
5. Why is it important for a patient with hyperaldosteronism taking
spironolactone to limit potassium intake?
Spironolactone can cause potassium retention, leading to
hyperkalemia.
Limiting potassium helps prevent dehydration.
Spironolactone increases sodium levels, requiring more sodium intake.
Potassium is essential for medication absorption.
6. What should the nurse do if a client on pregabalin reports tremors?
Administer a PRN dose of an anti-anxiety drug.
Obtain orthostatic blood pressure readings.
Collect a capillary glucose level.
Notify the healthcare provider.
7. A patient with chronic heart failure has a serum potassium level of 3.0 mEq/L.
The nurse should alert the health care provider prior to administering which
medication?
Metoprolol (Lopressor) 12.5 mg/day
, Ibuprofen (Motrin) 400 mg every 6 hours
Lantus insulin 24 units subcutaneously every evening
Digoxin (Lanoxin) 0.25 mg/day
8. What is the effect of doxycycline hyclate on the efficacy of birth control
pills?
It will cause an allergic reaction with birth control pills.
It will make the birth control pills less effective.
It has no effect on birth control pills.
It will enhance the effectiveness of birth control pills.
9. What is the target INR range for a patient on warfarin therapy?
1.5 to 2.5
3.5 to 4.5
2.5 to 3.5
2.0 to 3.0
10. Describe the significance of monitoring oxygen saturation and
methemoglobin levels in a patient with methemoglobinemia.
Monitoring only the patient's symptoms is enough to evaluate their
progress.
Monitoring laboratory values is not necessary for
methemoglobinemia.
Monitoring oxygen saturation and methemoglobin levels is crucial
to assess the patient's oxygen-carrying capacity and the severity of
the condition.
, Monitoring blood pressure and heart rate is sufficient for assessing
methemoglobinemia.
11. The client tells the clinic nurse she is taking St. John's wort for her depression.
Which information should the nurse discuss with the client?
Instruct the client to avoid touching the eyes after taking the
medication.
Tell the client to apply sunscreen freely when outdoors.
Discuss the need to avoid estrogen hormonal contraceptives.
Explain that this medication often causes liver damage.
12. Why is it important for the nurse to ask the client how she takes the
medication when she reports heartburn?
To provide education on the importance of hydration.
To suggest alternative medications for osteoporosis.
To identify potential issues with medication administration that
could cause side effects.
To determine if the client needs immediate medical attention.
13. What is the primary etiology for the nursing problem of risk for injury in
patients receiving miotics for open-angle glaucoma?
Increased frequency of lacrimation.
Diminished color perception.
Increased sensitivity to light.
Decreased night vision.
